Laserfiche WebLink
OVI-0 V1, 0 <br />CITY OF INIMMCE (A0)%T' <br />WORKSHEET FOR SEWAGE DISPOSAL. WORK <br />Date / — zo - r <br />t p_w <br />Inspector + r V I + �� �� � � Building Permit No. <br />Owner 1"5_ i_ld' v— _ _ Fee <br />Property Address(0 +t f= 0 K in Building_ <br />�._ <br />Plumbing Contractor -Outside Sewage Disposal_. A4,e�, + Syn� <br />Septic Tanks <br />Material -- (,Mk �b6vwt�i'.')_Capacitias <br />Proper Outlet & lnlet? I Baffle Plates? + <br />Drain Field: <br />Total length of lines plumber of lines <br />Type of soil ���"'` Percolation Test C 21 <br />Width of trench Type of filter material a='ec, <br />Amount of filter material below line 1 2 1— <br />Depth from top of the to finished grade q 1/2— <br />Check <br />%Check Vents ✓ Check Caulking I <br />Check Oracle in Horizontal Waste Pipes ' Clean Outs <br />Tonage or Yards of Filter Material Ise VATotal Sq. Footage of Drain Field y�w� <br />SandJS­ Rock _f 0 y� <br />Overall Size of Mound System Size of Mound System Rock Filter Material_`"' <br />Draw detailed diagram to scale with measurements below. <br />Z� 4 <br />1-3, 1 - L( <br />Lt? <br />F l" � 4-e- v- I' <br />VL <br />(IUOAe VJ i a `A-eP" <br />2, "1 ,+4 t -Sr_ Baa c,1.4V2Vt, <br />4,3 <br />0� <br />E <br />IN <br />rn <br />4 <br />01 <br />-ri <br />0 <br />x <br />to <br />�o <br />